Individual
LANE LESTER SMOTHERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 S WASHINGTON ST, SUITE 102, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931
Mailing address
419 S WASHINGTON ST, SUITE 102, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6580A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069853
—
MT
05
—
0575159
—
IA
01
—
308892
BLUE CROSS BLUE SHIELD
WY
05
—
8359358
—
WA
05
—
97383848
—
CO
Enumeration date
09/21/2005
Last updated
07/09/2007
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